Provider Demographics
NPI:1548386113
Name:JAMES B. JONES, M.D., P.A.
Entity Type:Organization
Organization Name:JAMES B. JONES, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-886-4407
Mailing Address - Street 1:2607 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-6133
Mailing Address - Country:US
Mailing Address - Phone:409-886-4407
Mailing Address - Fax:409-886-5303
Practice Address - Street 1:2607 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-6133
Practice Address - Country:US
Practice Address - Phone:409-886-4407
Practice Address - Fax:409-886-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128053902Medicaid
TX128053902Medicaid
TXD66674Medicare UPIN